MEDICARE: MICHAEL L VILARDO INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	189649	NY

General Provider Information

NPI Number	:	1093735698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL L VILARDO INC.

Provider Business Mailing Address
First Line	:	4804 N FRENCH RD
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-2178
Country	:	US
Telephone Number	:	716-688-2614
Fax Number	:	716-688-0997

Provider Business Practice Location Address
First Line	:	4804 NORTH FRENCH ROAD
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051
Country	:	US
Telephone Number	:	716-688-2614
Fax Number	:	716-688-0997

Authorized Official
Title or Position	:	OPHTHOLMOLOGIST/OWNER
Name	:	DR. MICHAEL L VILARDO
Credential	:	M.D.
Telephone Number	:	716-688-2614

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	01/31/2011

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